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Review
. 2024 Feb;53(2):85-92.
doi: 10.1007/s00132-023-04463-6. Epub 2024 Jan 8.

[Trends in navigation-handheld systems]

[Article in German]
Holger Bäthis  1   2 , Lars Perlick  3   4 , Johannes Beckmann  3   5 , Joachim Grifka  3
Affiliations
Review

[Trends in navigation-handheld systems]

[Article in German]
Holger Bäthis et al. Orthopadie (Heidelb). 2024 Feb.

Abstract
in English, German

Navigation-assisted surgical procedures in orthopedics and trauma surgery have become increasingly widespread over the last 20 years. In addition to applications in spinal surgery, they are primarily available for knee and hip endoprosthetics. On the one hand, computer-assisted procedures have been increasingly expanded with robotic assistance systems in recent years, and on the other hand, so-called handheld navigation systems have been developed, which enable specialized use directly in the operating field at lower acquisition costs. The aim of this overview is to describe current handheld systems and to present the respective technical principles and the available scientific results. Three handheld systems for TKA use, two for THA use and one system to support pedicle screw placement on the spine are presented.

Navigationsgestützte Operationsverfahren in der Orthopädie und Unfallchirurgie konnten in den letzten 20 Jahren eine deutliche Verbreitung finden. Neben Anwendungen in der Wirbelsäulenchirurgie sind vor allem Systeme für die Knie- und Hüftendoprothetik verfügbar. Einerseits werden computerassistierte Verfahren in den letzten Jahren zunehmend mit Robotik-Assistenzsystemen erweitert, andererseits wurden sogenannte handgeführte Navigationssysteme (Handheld-Systeme) entwickelt, die bei geringeren Anschaffungskosten eine spezialisierte Anwendung direkt im Operationsfeld ermöglichen. Ziel dieser Übersicht ist eine Beschreibung aktueller Handheld-Systeme und die Darstellung der jeweiligen technischen Grundlagen und der verfügbaren wissenschaftlichen Ergebnisse. Drei Handheld-Systeme für Knie-TEP-Anwendung, zwei für Hüft-TEP-Anwendung und ein System zur Unterstützung bei Pedikelschraubenplatzierung an der Wirbelsäule werden dargestellt.

Keywords: Computer-assisted surgery; Outliers; Spine; Total hip arthroplasty; Total knee replacement.

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References

Literatur

    1. Arts M, Wolfs J (2023) Handheld smartphone-(iOS)based spinal navigation in the placement of thoracolumbar pedicle screws; a new device with high accuracy and low radiation dose. Annunal Meeting North American Spine Society—Proceedings
    1. Bardou-Jacquet J, Murgier J, Laudet F, Fabre T (2022) Combining load sensor and robotic technologies for ligament balance in total knee arthroplasty. Orthopaedics and Traumatology: Surgery and Research https://doi.org/10.1016/j.otsr.2021.102889 - DOI
    1. Bäthis H, Kappel P, Pfeiffer TR et al (2022) Future implications of navigation in total knee arthroplasty. Orthopadie 51:708–718. https://doi.org/10.1007/S00132-022-04285-Y - DOI - PubMed
    1. Bäthis H, Perlick L, Tingart M et al (2004) Alignment in total knee arthroplasty. A comparison of computer-assisted surgery with the conventional technique. Journal of Bone and Joint Surgery – Series B 86:682–687. https://doi.org/10.1302/0301-620X.86B5.14927
    1. Cho KJ, Seon JK, Jang WY et al (2018) Objective quantification of ligament balancing using VERASENSE in measured resection and modified gap balance total knee arthroplasty. BMC Musculoskelet Disord. https://doi.org/10.1186/s12891-018-2190-8 - DOI - PubMed - PMC

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